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HEDIS Lead- Overread Team

Company: Anthem, Inc
Location: Arcadia
Posted on: March 15, 2020

Job Description:

HEDIS Lead- Overread Team (PS31821)Location: Indianapolis, Indiana, United StatesRequisition #: PS31821Post Date: Feb 25, 2020Your Talent. Our Vision. At Anthem, Inc ., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Required office options: Norfolk, VA; Atlanta, GA; Louisville, KY; NYC, NY; Indianapolis, IN or Woodland Hills, CAResponsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company strategy, commitments, and goals.Primary duties may include, but are not limited to:Performs over reads on medical record collection, abstraction and research projects as identified; establishes the baseline and measures the change, data gathering, presentation, and interpretation for optimal HEDIS data/results.Prepares and maintains project plans and schedules inclusive of tasks, timelines, resources, milestones, dependencies, and assumptions.Has the ability to lead teams regarding work flow process improvement, document management, and abstraction education.Evaluates and monitors performance and efficiency of programs to ensure that implementation meets targeted timelines.Perform quality checks and collaborates with multiple departments and external vendor to ensure the quality of medical record data meets NCQA guidelines for all HEDIS projects.Requires an AD in healthcare field; 2+ years of experience with HEDIS activity coordination or working with Managed/Acute/Provider Care environment required; 2+ years experience in performing measure over reads required. Knowledge and experience interpreting technical specifications for HEDIS measurement related to Medicare, Commercial and Medicaid is required.Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Keywords: Anthem, Inc, Arcadia , HEDIS Lead- Overread Team, Other , Arcadia, California

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